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lU/Va/ya '1UC <br /> (}'1txn� 01 <br /> 1I- ('t 1 PUBLICOHEAALITH SERVICES Qy — 2Sy <br /> ENVIRONNIIENTAL HEALTH DIVISION <br /> PUBLIC RECORI RELEASE APPLICATION <br /> z a n t4e.njv rso o <br /> APPLICANT UaJ'1 Ell rOnmenPHONE NOW09- <br /> ADDRESS n 9.W-05: <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> )ILE ADDRESS DEAD AGENCY DATE <br /> �o ID <br /> i <br /> � (rle 4 <br /> MS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION (EHD) POLICY M-007,ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A 11tAXIMUDt OF TEN (10) PREMISS ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILFSlRECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING ('•09)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> APPLICATION AND A <br /> �-BLEFU�DBLE DEPOSIT OF <br /> 8-00 <br /> IS RLR <br /> EQUEDUDEPOS TS, RELEASE <br /> BERETURNED TO THE APP7 <br /> LICANT IF THE FILFS/RECORDSARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> ABOVE TOTAL <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE ?RIO TO REVIEWING THE <br /> DOCUMENT(S). <br /> S. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT j DATE <br /> SIGNATURE OF RELEASING OFFICI f DATE <br /> EH 00 14 (REV 12/92) <br />